bkhattak
Networker
I work with a plastic surgeon. He is supposed to do a surgery but is not in network with the patient's plan. The patient's plan might have OON benefits but to avoid all the complications of the NSA act and then the Insurance pays too little. He is going to do it as self pay and the patient has agreed to it. But the Hospital will bill the Insurance for the ancillaries. I just wanna make sure if the facility bills the Ins. then the doctor is supposed to bill the Ins. too? The patient can't afford to pay for the hospital charges.
Someone told me that it happened to them and the Insurance came back and recouped the facility.
I would appreciate anyone with a response.
Someone told me that it happened to them and the Insurance came back and recouped the facility.
I would appreciate anyone with a response.